- CVS Health (Richmond, VA)
- …implementation of large product initiatives, including new products and product enhancements for Medicare formularies, UM and clinical tools for Medicare ... years of Managed Care experience in health plan and/or PBM roles 15+ years Medicare experience **Education** Pharmacist , BS or Pharm D with active, unrestricted… more
- CVS Health (Richmond, VA)
- …experience. **PRIMARY DUTIES AND RESPONSIBILITIES** : Ensure accuracy of case setup and clinical review of Medicare appeals cases + Review internal notes or ... As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- Elevance Health (Richmond, VA)
- …lens, to deliver member-centered, lasting pharmacy care. The **Population Health Management Pharmacist ( Pharmacist Clinical ** ) is responsible for managing ... **Population Health Management Pharmacist - CarelonRx** **Location:** The ideal candidate will...the selection and utilization of pharmaceuticals and supports core clinical programs for contracted provider groups formulary management, achieving… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who ... medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work assignments are varied… more
- Prime Therapeutics (Richmond, VA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager ... opening is presenting a unique opportunity for a Pharmacist that has PBM experience, likes to travel and...while being that utility player/SME of the department.** The Clinical Program Manager is responsible for the management of… more
- Prime Therapeutics (Richmond, VA)
- …drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** Responsible for ... Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible for managing current Medical Pharmacy clients and… more